4. Trade Name (doing business as) 5. Address to be licensed. 6. Mailing address

Transcription

1 City of Madison Liquor/Beer License Application On-Premises Consumption: Class B Beer Class B Liquor Class C Wine Off-Premises Consumption: Class A Beer Class A Liquor Class A Cider Section A Applicant 1. If needed, a qualified interpreter can be provided at no charge to you. Would you like an interpreter? Yes (language: ) (If you answer no and you do require an interpreter, the ALRC will refer your application to a subsequent meeting and this may delay your application process) Si usted requiere o necesita un/a intérprete, nosotros podemos proveer un/a intérprete sin costo alguno. Le gustaría tener un/a intérprete? Sí, lenguaje. Si usted escoge no en la solicitud/aplicación, y usted sí requiere un/a intérprete, el comité remitirá su solicitud para una nueva junta y esto puede atrasar el proceso de su solicitud. 2. This application is for the license period ending June 30, List the name of your Sole Proprietor, Partnership, Corporation/Nonprofit Organization or Limited Liability Company exactly as it appears on your State Seller s Permit. 4. Trade Name (doing business as) 5. Address to be licensed 6. Mailing address 7. Anticipated opening date 8. Is the applicant an employee or agent of, or acting of behalf of anyone except the applicant named in question 3? Yes (explain) 9. Does another alcohol beverage licensee or wholesale permitee have interest in this business? Yes (explain) Section B Premises 10. Describe in words the building or buildings where alcohol beverages are to be sold and stored. Include all rooms including living quarters, if used, and any outdoor seating used for the sales, service, and/or storage of alcohol beverages and records. Alcohol beverages may be sold and stored only on the premises as approved by Common Council and described on license.

2 11. Attach a floor plan, no larger than 8 ½ by 14, showing the space described above. 12. Applicants for on-premises consumption: list estimated capacity 13. Describe existing parking and how parking lot is to be monitored. 14. Was this premises licensed for the sale of liquor or beer during the past license year? Yes, license issued to (name of licensee) 15. Attach copy of lease. Section C Corporate Information This section applies to corporations, nonprofit organizations, and Limited Liability Companies only. Sole proprietorships and partnerships, skip to Section D. 16. Name of liquor license agent 17. City, state in which agent resides 18. How long has the agent continuously resided in the State of Wisconsin? 19. Appointment of agent form and background check form are attached. 20. Has the liquor license agent completed the responsible beverage server training course?, but will complete prior to ALRC meeting Yes, date completed 21. State and date of registration of corporation, nonprofit organization, or LLC. 22. In the table below list the directors of your corporation or the members of your LLC. Attach background check forms for each director/member. Title Name City and State of Residence 23. Registered agent for your corporation or LLC. This is your agent for service of process, notice or demand required or permitted by law to be served on the corporation. This is not necessarily the same as your liquor agent.

3 24. Is applicant a subsidiary of any other corporation or LLC? Yes (explain) 25. Does the corporation, any officer, any director, any stockholder, liquor agent, LLC, any member, or any manager hold any interest in any other alcohol beverage license or permit in Wisconsin? Yes (explain) Section D Business Plan 26. What type of establishment is contemplated? Tavern Nightclub Restaurant Liquor Store Grocery Store Convenience Store without gas pumps Convenience Store with gas pumps Other _ 27. Business description 28. Hours of operation 29. Describe your management experience 30. List names of managers below, along with city and state of residence. 31. Describe staffing levels and staff duties at the proposed establishment 32. Describe your employee training

4 33. Utilizing your market research, describe your target market. 34. Describe how you plan to advertise and promote your business. What products will you be advertising? 35. Are you operating under a lease or franchise agreement? Yes 36. Private organizations (clubs): Do your membership policies contain any requirement of invidious (likely to give offense) discrimination in regard to race, creed, color, or national origin? Yes Section E Consumption on Premises This section applies to Class B and Class C applicants only. Class A license applicants (consumption off premises) may skip to Section F. 37. Do you plan to have live entertainment? Yes what kind? 38. What age range do you hope to attract to your establishment? 39. What type of food will you be serving, if any? Breakfast Brunch Lunch Dinner 40. Submit a sample menu if applicable. What will be included on your operational menu? Appetizers Salads Soups Sandwiches Entrees Desserts Pizza Full Dinners 41. During what hours of operation do you plan to serve food? 42. What hours, if any, will food service not be available? 43. Indicate any other product/service offered. 44. Will your establishment have a kitchen manager? Yes 45. Will you have a kitchen support staff? Yes 46. How many wait staff do you anticipate will be employed at your establishment? During what hours do you anticipate they will be on duty? 47. Do you plan to have hosts or hostesses seating customers? Yes

5 48. Do your plans call for a full-service bar? Yes If yes, how many barstools do you anticipate having at your bar? How many bartenders do you anticipate having work at one time on a busy night? 49. Will there be a kitchen facility separate from the bar? Yes 50. Will there be a separate and specific area for eating only? Yes, capacity of that area 51. What type of cooking equipment will you have? Stove Oven Fryers Grill Microwave 52. Will you have a walk-in cooler and/or freezer dedicated solely to the storage of food products? Yes 53. What percentage of payroll do you anticipate devoting to food operation salaries? 54. If your business plan includes an advertising budget: What percentage of your advertising budget do you anticipate will be related to food? What percentage of your advertising budget do you anticipate will be drink related? 55. Are you currently, or do you plan to become, a member of the Madison Dane County Tavern League or the Tavern League of Wisconsin? Yes 56. Are you currently, or do you plan to become, a member of the Wisconsin Restaurant Association or the National Restaurant Association? Yes 57. All restaurants and taverns serving alcohol must substantiate their gross receipts for food and alcohol beverage sales broken down by percentage. New establishments estimate percentages: % Alcohol % Food % Other 58. Do you have written records to document the percentages shown? Yes You may be required to submit documentation verifying the percentages you ve indicated. Section F Required Contacts and Filings 59. I understand that liquor/beer license renewal applications are due April 15 of every year, regardless of when license was initially granted. Yes 60. I understand that I am required to host an information session at least one week before the ALRC meeting. Yes 61. I agree to contact the Alderperson for this location to discuss my application and to invite the Alderperson to my information session. Yes 62. I agree to contact the Police Department District Captain for this location prior to the ALRC meeting. Yes 63. I agree to contact the Deputy Clerk prior to the ALRC meeting. Yes 64. I agree to contact the neighborhood association representative prior to the ALRC meeting. Yes 65. I intend to operate under the alcohol license within 90 days of the Common Council granting this license. The license shall be considered surrendered if not issued within 90 days of being granted. Yes

6 66. I understand we must file a Special Occupational Tax return (TTB form ) before beginning business. [phone ] Yes 67. I understand a Wisconsin Seller s Permit must be applied for and issued in the same name as that shown in section 2, above. [phone ] Yes 68. Is the applicant indebted to any wholesaler beyond 15 days for beer or 30 days for liquor? Yes Section G Information for Clerk s Office 69. State Seller s Permit Federal Employer Identification Number 71. Who may we contact between 8 a.m. and 4:30 p.m. regarding this license? Contact person address Phone Preferred language 72. Corporate attorney, if applicable: Name Phone Read carefully before signing in front of a notary: Under penalty provided by law, the applicant states that the above information has been truthfully completed to the best of the knowledge of the signer. Signer agrees to operate the business according to law, and that the rights and responsibilities conferred by the license(s), if granted, will not be assigned to another. Lack of access to any portion of licensed premises during inspection will be deemed a refusal to permit inspection. Such refusal is a misdemeanor and grounds for revocation of this license. Subscribed and Sworn to before me: this day of, 20 (Clerk/Notary Public) (Officer of Corporation/Member of LLC/Partner/Sole Proprietor) My commission expires Clerk s Office checklist for complete applications Orange sign WI Seller s Permit Certificate (matching articles of incorporation) FEIN tarized application Written description of premises Background investigation form(s) Form for surrender of previous license *Articles of Incorporation *Notarized Appointment of Agent * Corporation/LLC only Floor Plans Lease Sample Menu Business Plan Date complete application filed with Clerk s Office Date of ALRC meeting Date license granted by Common Council Date provisional issued Date license issued License number